WARRANTY PRODUCT RETURN FORM

WARRANTY PRODUCT RETURN FORM

(Form requires an RGA Number to return product and receive credit) (Non Warranty RGA requests require to be submitted to Orders@navien.com for return and credit)
**This form must be completed & emailed to the returns department for your unit(s) and/or part(s Please type or write legibly, COMPLETE THE FORM TO ITS ENTIRETY and email to

return@navien.com OR fax to (877)-841-8283. For Canada email to return.ca@navien.com

If you need help filling out the form please call returns at 800.519.8794, Option 5
Today's Date :
Date

MonthDayYear
Date
NAVIEN WILL PROVIDE A PREPAID RETURN LABEL. DO YOU NEED NAVIEN TO SCHEDULE PICKUP? Y OR N. Question below, please circle. More than 1 Unit must be on a Pallet.
DATE PACKAGE WILL BE READY FOR PICKUP:
Date

MonthDayYear
Date
PACKAGE TYPE & COUNT :

Enter number of Units or Parts
Number
Please Pick Option

BOXPALLET
RGA
**AN RGA NUMBER AND SERIAL NUMBER IS MANDATORY, please contact the

Technical Support Department at 800-519-8794 option 2 to obtain a RGA number prior to return. Any return w/o an authorized RGA will be returned to the customer.
WHOLESALER INFORMATION

CREDIT ISSUED TO WHOLESALER WHO ISSUED REPLACEMENT UNIT
Company
Address
CREDIT ISSUED TO WHOLESALER WHO ISSUED REPLACEMENT UNIT
City
State
Zip Code
Contact Person
Phone
Email
example@example.com
PICK UP ADDRESS

Enter ONLY if Different from Wholesaler
Company
Address

Address

Street Address Line 2

CityState

Zip Code
Contact Person
Phone
Email
example@example.com
Enter your Account Payable's email address
example@example.com
(we will email a copy of the credit memo ENTER EMAIL ADDRESSES)

Note: To Return units you are required to email this completed form to return@navien.com to have a pickup schedule.
OLD unit information(Defective)
Unit Model
Serial Number
Debit Memo
NEW unit information(Replacement)
Replacement Model
Replacement S/N
** Navien is not responsible for the increased price difference on upgrade

REQUIREMENTS - PLEASE READ: A credit will only be issued for unit (s) and/or part(s) that have been purchased from Navien. If found not to be sold by Navien, the request will be denied.

ALL UNIT RETURNS MUST BE DRAINED PRIOR TO SHIPMENT - NO WATER IN THE UNIT DURING TRANSIT.
- Units/Parts returned in improper packaging will be subject to return to customer 'collect'
- Units returned w/o serial number labels no identification will be subject to return on customer shipping account or sent back 'collect'
- Units returned w/ internal parts missing, major components will not receive credit
- Units returned w/o correct RGA or unapproved RGA number will not receive Credit, unit will be sent back to customer 'collect'

RETURN PARTS INFORMATION

	Parts No.	Parts Name	Quantity

Note: To Return Parts, you must use the prepaid FedEx Return label provided when the Warranty Part was provided by Navien. Shipping is NOT reimbursed for any returns not prepared by Navien Inc.
Additional Important Notes/Instructions: - PLEASE READ!
NAVIEN DOES NOT ACCEPT COLLECT SHIPMENTS, IF SENT COLLECT THEY WILL BE REFUSED. DO NOT SEND PARTS UNLESS YOU HAVE AN AUTHORIZED RGA NUMBER. TO CHECK IF THE PART IS ELIGIBLE CONTACT TECH SUPPORT. ALL DEFECTIVE UNITS AND OR PARTS ARE RETURNED VIA GROUND SERVICE. NOTE: ARRANGE RETURNS WITH NAVIEN, DO NOT USE YOUR ACCOUNT TO SHIP, WE WILL NOT REIMBURSE SHIPPING COSTS IF YOU USE YOUR SHIPPING ACCOUNT.
Should be Empty:

WARRANTY PRODUCT RETURN FORM

Today's Date :

DATE PACKAGE WILL BE READY FOR PICKUP:

PACKAGE TYPE & COUNT :

WHOLESALER INFORMATION

CREDIT ISSUED TO WHOLESALER WHO ISSUED REPLACEMENT UNIT

PICK UP ADDRESS